Provider Demographics
NPI:1477699726
Name:SCHOCH, ALBERT LAWRENCE (PAC)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:LAWRENCE
Last Name:SCHOCH
Suffix:
Gender:M
Credentials:PAC
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Mailing Address - Street 1:8807 111TH ST CT SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498
Mailing Address - Country:US
Mailing Address - Phone:253-984-0928
Mailing Address - Fax:253-966-7653
Practice Address - Street 1:17TH & C STREET
Practice Address - Street 2:BUILDING 11582 OKYBO HEALTH CLINIC
Practice Address - City:FORT LEWIS
Practice Address - State:WA
Practice Address - Zip Code:98433
Practice Address - Country:US
Practice Address - Phone:253-966-7545
Practice Address - Fax:253-966-7653
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PACCERTIFICATION#100363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant